How a supportive arrangement is set up
We start with a single visit and a conversation about what an ongoing arrangement would look like. From that conversation we agree a schedule — usually monthly or bi-weekly — and a scope for each visit. The scope is reviewed every three months and adjusted if the household's needs have changed. The same lead supervisor handles every visit, building familiarity with the household and reducing the burden of re-explaining the situation to a new face every time.
Continuity of crew
For supportive arrangements we hold a small named team — usually three or four operatives — who rotate through the visits. The lead supervisor attends every visit. This continuity matters: residents in hoarding recovery, elderly residents, and residents with social anxiety find it noticeably easier when the same people are returning.
Common use cases
Households where a resident is in active recovery from hoarding disorder — the supportive visits help prevent re-accumulation without forcing a major intervention. Households where an elderly resident lives alone and finds bulky waste an insurmountable obstacle (a broken washing machine, an old mattress, garden waste after a windy week). Households recovering from significant disruption — a bereavement, a separation, a stroke — where a year of monthly visits helps the household get back to a sustainable state.
Coordination with other care provided
Many supportive-clearance arrangements run alongside domiciliary care packages, community mental-health support, social-care visits or family-led arrangements. We coordinate with all of these. The lead supervisor will attend MDT meetings on request and will share our visit notes with the care team where the resident has consented.
Pricing for supportive arrangements
Supportive clearance is priced per visit, at framework rates for partner social-care providers, or at a discounted per-visit rate for private households on an ongoing schedule. Most supportive arrangements cost £80–£150 per visit, depending on the duration and scope. We do not require a minimum-term contract — the arrangement can be paused or stopped at any time.
Frequently asked questions
How long does each supportive visit last?
Typically two to four hours. We design the visit length so it doesn't overwhelm the resident — a long day is harder to repeat regularly than a manageable morning.
Can the visit schedule be flexible?
Yes. We can hold a regular slot (third Thursday of the month, for example) and reschedule when needed. Most households end up with a regular rhythm within a few months.
Will the same crew always attend?
Yes, as far as practical. The lead supervisor attends every visit; the rotating operatives are drawn from a small named team known to the household.
Do you provide a written record of each visit?
Yes, where requested. The written record covers the scope of the visit, items disposed of, items set aside, any concerns noted, and the plan for the next visit. The record can be shared with carers, family or the care team.
What happens if the household's needs change?
We adjust. Every three months we review the arrangement formally with the household or the care team, and adjust frequency, scope or budget. Many supportive arrangements scale back over time as the household stabilises.